Intrapartalne rupture uterusa, uzroci i zbrinjavanje

Abstract

During 3 year period there were over 20000 deliveries at the Institute for Gynecology and Obstetrics. Considering the fact that our clinic's maternity hospital is the largest in the Balkans and that we are at the top of medical practice, the largest number of deliveries in Serbia and Monte Negro is performed in our institution. For the number of uterus ruptures dramatically increased, we analyzed the way of their repair and possible measures for preventing postpartum hysterectomies. We compared patients with performed hysterectomies or uterus sutures. We analyzed the possibility to approach more conservatively to such complications. 30 patients were subjected to interventions. In the group A there were 25 women subjected to more conservative therapy. In the group B there were 5 patients with total hysterectomy with conservation of one or both adnexes.

A strong Association between Plasminogen Activator Inhibitor Type - 1 (-657 4G/5G PAI-1) and the Development of Pre-eclampsia

“…Therefore, our ndings are in agreement with Hypoalbuminemia that occurs during preeclampsia development [54]. Similarly, our nding was in agreement with another study in which 60 patients diagnosed with severe preeclampsia cases had albumin concentrations less than 3 g/ dL [53]. In contrast to our ndings, another study shows that the mean serum albumin level in the preeclampsia group was almost similar to that of the normotensive group [55,56].…”

“…Hypoalbuminemia in preeclampsia is the result of reduced hepatic blood ow which is secondary to hypovolemia created by higher ltration pressure in the capillaries. Thus, Hypoalbuminemia can be identi ed as an early sign of developing preeclampsia [53]. Our results show that the mean concentration of albumin in serum in the control group is more than that of the patients and there is a strong statistically signi cant (P < 0.0001) difference between the patients' group and the control group.…”